Control slide for immunoassay kit and method of making same

ABSTRACT

A control slide for use in an immunoassay having a section of a cell pellet retained on the slide in a stable and substantially permanent formation which can be stored at room temperature. Further, the invention includes the method of making the control slide.

This invention is concerned with control slides used in immunoassays andmore particularly, relates to a novel control slide for use in animmunoassay wherein an intact cell specimen preferably will serve as thecontrol medium. Further, the invention relates to a method of making thecontrol slide.

BACKGROUND OF THE INVENTION

The immunoassay of the type which the invention is concerned isexemplified by an immunoperoxide assay for terminal deoxynucleotidyltransferase (TdT), a DNA polymerase enzyme found in lymphocyte cells ofhumans. Such an assay is marketed by the Coulter Immunology Division ofCoulter Corporation, Hialeah, Florida which includes monoclonal antibodyspecific to TdT. TdT is particularly associated with T-celldifferentiation. Elevated levels of the enzyme have been found to besymptomatic of certain human leukemias and has become a valuable markerfor lymphoblastic neoplasms.

In performing a microscopic assay, a reliable control slide is desirablefor maintaining the integrity of the analysis. Such a slide provides astandard against which to measure the sample cells being analyzed andassist the investigator in assuring that the reagents employed inpreparing sample or specimen slides are functioning properly.Characteristic of such a control slide is the use of an intact cellspecimen to serve as the control medium.

Significant obstacles have been encountered in preparing such a suitablecontrol slide for TdT immunoassay because TdT is a fragile and sensitiveenzyme, the expression of which is greatly affected by temperature,moisture and cell cycle. Heretofore, the control slide was prepared by"Cytospin" centrifuging approximately 5×10⁶ normal lymphocytic cells atapproximately 1200 rpm for approximately eight minutes at a desireddilution of phosphate buffered saline (PBS) to form a monolayer of cellson a slide. The cell monolayer then was used in the assay. However,conventional processing alters the monolayer cell response in the assay.Shipment to the investigators and storage in the laboratory at propertemperatures were required. For instance, the control slides could befixed in absolute methanol and shipped at a storage temperature of 4° C.for up to 72 hours. Thereafter, the slides had to be stored at -70° C.until shipped or needed for use by the laboratory. Shipment conditionscould not be assured; many laboratories did not have a storage facilityfunctioning at -70° C.

Further experimentation with cytospin procedures established that"Cytospin" prepared slides could not be stored at 4° C. or roomtemperature and maintain the ability to obtain positive staining forTdT. Shipment and storage at such optimistic temperature conditionswould be desirable advantages for such a control slide where intactcells functioned as the control medium.

Providing such a TdT control slide stable at room temperatures forprolonged periods of time required consideration of three (3) variableswhich impact on the TdT in the cells, to wit, fixation, dehydration andheat. Recognized procedures such as lyophilizing or freeze-drying andparaffin embedding processing were considered. Lyophilizing mightresolve moisture problems whereas paraffin embedding might resolve theexposure to heat problem, but no assured resolution of the detrimentaleffect of moisture on the cell line. Elimination of excess moisture isessential in order to obtain adequate TdT staining. However, excessiveor improper dehydration impairs the ability to store a TdT control slidefor prolonged periods of time at reduced temperatures. Of course, themorphology of the cells must be maintained in the control slide. All ofthese factors, as well as others, such as using formalin as thefixative, were to be considered where the cell line was to be used asthe control medium.

It was known to use certain fixation compounds and paraffin-embeddingwhere cell tissue was used as the control medium. However, theseconventional techniques impacted adversely on a marker such as TdTenzyme which is very sensitive and fragile. For instance, formalin usedas a fixative impaired the molecules within lymphocyte cells required tomaintain adequate TdT staining for control use. Graded ethyl alcoholgenerally used for dehydration treatment of cells gave rise to excessiveor improper dehydration. Prior art paraffin-embedding used high meltingpoint paraffin (58°-62° C.) whereas such a technique impacted adverselyon TdT cell line.

This invention succeeds in providing a control slide for an immunoassayof the TdT type wherein a lyophilized intact cell segment preferably isparaffin-embedded on a slide to function as the control medium. Thecontrol slide of the invention is substantially stable and non-degradingwith respect to its authenticity at ordinary room temperature. Theinvention comprises also the method of making such an advantageouscontrol slide.

SUMMARY OF THE INVENTION

The present invention provides a stable, substantially permanent controlslide for use in an immunoassay where the cell line functions as thepreferred control medium and a method of making same. The actual glassslide or other appropriate substrate has mounted thereon amethanol-fixed and paraffin-supported section including at least aportion of intact cells, such as lymphocytes, for TdT enzyme assay,which portion is substantially stable and non-degrading with respect toits antigenicity at room temperature.

The method includes fixing the pellet of reference cells, prepared bycentrifuging technique, with absolute methanol at room temperature anddehydrating the fixed cells with absolute, virgin methanol. Theresulting pellet is then embedded in a block of low melting pointparaffin in a mold, released from its mold and sectioned for stainingand mounting on the slide.

BRIEF DESCRIPTION OF THE DRAWING

FIG. 1 is an enlarged perspective view of a pellet formed from a cellline according to the invention, including a view of the tube in whichit is formed;

FIG. 1A is a perspective view of the molded block of paraffin in whichthe pellet of FIG. 1 is encased;

FIG. 2 is a perspective view of a representative control slide embodyingthe invention;

FIG. 3 is a sectional view taken through the control slide along theline 3--3 of FIG. 2 and in the direction indicated generally; and

FIG. 4 is a schematic representation of the method embodying theinvention for making the control slide of FIG. 2.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

The invention provides a stable, substantially permanent control slidefor use in an immunoassay, such as an enzyme immunoassay for terminaldeoxynucleotidyl transferase (TdT). The cell portions mounted on theslide include intact cellular structures which are well stained andwhich remain stable with respect to their antigenicity substantiallypermanently in room temperature storage.

FIG. 1 illustrates a representative cell pellet designated generally bythe reference numeral 10. The pellet 10 is of the type prepared as anintermediate product in the preparation of the control slide 12 shown inFIG. 2. The pellet 10 is prepared by collecting in a centrifuge tubeapproximately 5×10⁶ cells, such as lymphocyte cells in the case of acontrol slide for a TdT immunoassay, diluted to a dilution of 5.0×10⁶cell/ml in phosphate buffered saline (PBS). The collection of cells isspun down for approximately eight minutes at 1200 rpm to form the pellet10. The pellet 10 with PBS then is treated, sectioned, mounted andstained according to the method diagrammatically illustrated in FIG. 4.

Referring to FIG. 4, the pellet 10 containing PBS first is fixed asrepresented by the reference character 14. The fixation procedure is asfollows:

A. 50 milliliters of absolute methanol is added to the centrifuge tubeand then withdrawn by decanting;

B. 25 ml of absolute methanol is added to the tube, agitated slightlyand permitted to incubate for one (1) hour, after which the methanol iswithdrawn by decanting;

C. 25 ml again is added, agitated slightly and incubated for one (1)hour, after which the methanol is removed, leaving the treated pellet.

Use of absolute methanol fixes the cells without compromising theintegrity of the cytoplasm or membrane of cells. Further, fixation withabsolute methanol was accomplished at room temperature whereas prior artfixation procedures using absolute methanol was performed atapproximately 4° C.

After fixation of pellet 10, the pellet is removed to a small volume ofaqueous 3% AGAR™ (DIFCO) and allowed to gel and form a semi-solid mass,which must be dehydrated. A proper degree of dehydration is requiredbecause moisture can effect the sensitivity of cells such as to damagethe integrity of a cell line used for an immunoassay such as the TdT.Insufficient dehydration may interfere with proper TdT staining, forinstance; excessive or improper dehydration throughout the cells canprevent the ability of the cells to store TdT, as is documented in theprior art.

Dehydration procedure is represented generally by the referencecharacter 16 in FIG. 4, as follows:

A. The semi-solid mass prepared after fixation procedure 14, istransferred into fresh absolute methanol solution and permitted toincubate for one (1) hour; the methanol is withdrawn;

B. Fresh absolute methanol is added again for incubation of said massfor one (1) additional hour; the methanol then is withdrawn.

Upon completing this dehydration procedure, a substantially optimalquantity of moisture has been withdrawn without adverse trauma beingsuffered by the cells.

A procedure is now performed to remove the methanol from the said mass.Approximately 50 ml of Xylene is added and permitted to incubate forforty-five minutes. The Xylene is withdrawn by decanting and another 50ml of Xylene is introduced and incubated again for forty-five minutes.The Xylene is then withdrawn by decanting. The successive Xylenetreatments removes the methanol previously used.

The next procedure performed is represented by the reference character18 which is designed to rigidify or set the pellet. Low melting pointparaffin is added to the pellet in the amount of approximately 1 ml andpermitted to incubate for about forty-five minutes. The paraffin isdecanted and another 1 ml of low melting point paraffin is added to thepellet vessel and permitted to incubate for forty-five minutes. Theparaffin is then decanted. The pellet is removed by adding 0.5 ml of lowmelting point paraffin and allowed to set or harden for about fifteen(15) minutes, and then quick-freezing with Freon of the bottom of thevessel so that the pellet embedded in paraffin can be popped out of thevessel.

The paraffin embedded pellet is then placed in a contoured mold toharden into a block form 20 seen in FIG. 1A. It is this block form whichpermits sectioning into sections 22 of about 5 microns thick by means ofa rotary microtone, for instance. A section 22 is placed on the slides24 or other suitable substrate and dried for one (1) hour atapproximately 58° C. The completed control slide is designated 12 inFIG. 2.

As has been explained, the temperature of the paraffin embedding mediumis crucial to viability of the method embodying the invention. Use ofheat is effectively reduced by using low melting point paraffin. Lowmelting point paraffin has a melting point of 52°-55° C. whereasso-called high melting point paraffin melts between 58°-62° C., which iscommonly used under vacuum to embed cells in paraffin to form a rigidcell mass for sectioning in other laboratory procedures. The use of suchhigh melting point paraffin generally causes trauma and heat damage tocells. Our use of low melting point paraffin successfully avoids celltrauma and damage, assists in maintaining proper cell morphology andantigenic expression in the immunoassay.

The low melting point paraffin used was an embedding medium identifiedby the trademark Paracut™ (TPN 132-118-0) produced by TechniconInstruments Corporation, Tarrytown, N.Y. Notably, vacuum inducedimpregnation is avoided and agitation of the paraffin/pellet combinationis avoided.

After drying, the slides can be stored indefinitely at room temperature.Subsequent testing has shown that TdT cell lines prepared in this mannershow excellent morphology, positive nuclear staining of TdT positivecells, no staining of TdT negative cells, and little or no cytoplasmicnon-specific staining. All of these results compare most favorably withcytospun slides stored at -70° C. or those freshly prepared.

After drying, the slide is warmed in an oven at 56° C. for 15 minutes,placed in Xylene for 10 minutes to dewax and then placed in absolutemethanol as the final fixing step. The absolute methanol preferably ischanged after five minutes and left to incubate for another five minuteperiod. Finally, the slide is placed in 3% H₂ O₂ in methanol for 10minutes, after which the slides can be stained. Staining procedures willbe conventional for cells with slight modifications for TdT cellstaining, for instance.

The control slide and method embodying the invention is equallyeffective for using TdT positive or TdT negative cell lines; prolongedroom temperature storage is realized with both types of control slides.The control slide and method of the present invention also is viable foreither the immunoperoxidase or immunofluorescence assay for TdT.

It is perceived that the invention can be adapted for the assay of othercell lines with equal advantages. For instance, assay of thymocytesusing the monoclonal antibody specific to the T6 antigen may befeasible. The same may apply to certain cancer cell lines to whichmonoclonal antibodies have been developed. The procedures of theinvention are not so severe as likely to damage a cell line.

We are not aware of any method involving TdT cell pellets or any othercell line pellets, that achieve the stability achieved by the controlslide of the present invention. Current methodology, particularly withrespect to TdT enzyme assay, recommends fresh cell preparations or cellpreparations stored for less than two weeks at -20° C. or approximately-70° C.

It is contemplated that minor variations in practicing the invention mayoccur to persons skilled in the art, such as quantity of reagent used orlength of incubation without departing from the spirit of the inventionor the scope of the claims.

We claim:
 1. A stable, substantially permanent immunoassay control slidein which a fixed cell line is a control medium comprising:a solidsupport substrate; and at least one intact fixed cell of a cell lineembedded by being supported and enclosed in a low temperature meltingpoint embedding medium comprising paraffin having a melting point withinthe approximate range of between 52-55° C. mounted on said substrate andbeing stained, the at least one intact fixed cell being substantiallydehydrated and authentic in morphology, said at least one intact fixedcell being substantially permanently stable and non-degrading withrespect to its antigenicity at ordinary room temperature, said cell lineincluding TdT to be assayed.
 2. the control slide of claim 1 in whichsaid embedding medium and embedded cell is approximately five micronsthick.
 3. A control cell medium for use in an immunoassay in which afixed cell line functions as the control, comprising:a. a collection ofintact, chemically fixed cells of a cell line selected to function as acontrol for an immunoassay; b. said cells being in a pellet formationand embedded in a low temperature melting point paraffin having amelting point within the approximate range of between 52°-55° C., whichis capable of being separated selectively into sections for use as thecontrol; c. the cells in said formation further being stained,dehydrated, and authentic in their morphology; said control medium beingcharacterized as substantially permanently stable and non-degrading withrespect to its antigenicity at ordinary room temperature, said cell lineincluding TdT to be assayed.
 4. A stable, substantially permanentimmunoassay control slide in which a fixed cell line is a control mediumcomprising:a solid support substrate; and at least one intact fixed cellof a cell line, which includes TdT to be assayed, embedded by beingsupported and enclosed in a low temperature melting point paraffinwithin the approximate range of between 52°-55° C. mounted on saidsubstrate and being stained, the at least one intact fixed cell beingsubstantially dehydrated and authentic in morphology, said at least oneintact fixed cell being substantially permanently stable andnon-degrading with respect to its antigenicity at ordinary roomtemperature.